Individual
AVELARDO V MALVIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP, APRN
Contact information
Practice address
1492 W 6TH ST STE M, CORONA, CA 92882-6529
(949) 491-9616
Mailing address
1492 W 6TH ST STE M, CORONA, CA 92882-6529
(949) 491-9616
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95026371
CA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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